1. Which of the following leadership styles will be having more risk of negligence of the members? a. Laissezfaire b. Democratic c.

Autocratic d. None of these 2. The statement of the future purpose of the future organization that is involved in the planning stage of the management process is called: a. Mission b. Vision c. Goal d. Philosophy 3. The charisma and charm of a leader is referred to as which power of a leader? a. Expert power b. Referent power c. Exclusive power d. Reward power 4. Attributes of a good leader involves which of the following? a. Holds his member accountable for their wrongdoing and negligence b. Aware of the members strengths and weaknesses c. Confident in his leadership skills d. All of these 5. Principles of effective leadership least likely involves: a. One group commanded by one leader b. One group should always have an objective c. Patient first policy is applied d. Accountability is delegated to the members of the team 6. The leadership is exercised because of the appointment to a higher position is referred to as: a. Expert power b. Referent power c. Exclusive power d. Reward power 7. Which of the following leadership is best used during an emergency or intensive crisis? a. Laissezfaire b. Democratic c. Autocratic d. Ultraliberal

8. To be a good manager, there should be a good interpersonal relationship between the leader and follower. This leadership theory is called: a. Scientific Management theory b. Motivational Theory c. Human Relations Theory d. Bureaucratic Theory 9. Telling the truth is the practice of which ethical principle? a. Nonmaleficence b. Veracity c. Beneficence d. Justice 10. The loose style of nursing leadership is: a. Laissez-faire b.Democratic c.Autocratic d. None of these 11. Which theory of nursing leadership states that a leader becomes the head because of his charm? a. Great-Man theory b. Situational theory c. Charismatic theory d. Trait theory 12. The head nurse in the unit is consistent in her decisions and compels the group to follow her. She performs decision making without asking or getting any inputs from her members. Which type of leadership is the head nurse following? a. Laissezfaire b. Democratic c. Autocratic d. Ultraliberal 13. This theory states that a person becomes a leader because he is born to be one: a. Great-Man theory b. Situational theory c. Charismatic theory d. Trait theory 14. The personal conviction that something is absolutely right or wrong in all situations is called: a. values b. morals c. ethics standards of d. practice 15. Professional accountability serves for the following purpose except for: a. To provide basis for ethical decision b. To respect the decision of the client. c. To maintain standards of health To evaluate new professional practices and reassess d. existing ones

16. External constraints can influence voluntariness in situations related to informed consent. These constraint least likely include: a. Coercion b. Fraud Undue c. violence Significant d. trauma 17. Nursing ethics provides the standards for professional behavior and is the study of principles of right and wrong for nurses. This set of standards states the duties and obligations of nurses to: a. Client Other health b. professionals c. Community d. All of these 18. Nurse Janine avoids deliberate harm, risk of harm and harm that occurs during her performance of nursing actions. The nurse is promoting which ethical principle? a. Autonomy Nonmalefice b. nce c. Beneficence d. Justice 19. A wrong dose of drug is administered by the nurse. The nurse is responsible to whom? a. Client Physician who ordered b. the drug c. Society d. All of these 20. Deciding whether prolonging life in a terminally ill client or doing euthanasia (mercy killing) is an example of what type of ethics? a. Mataethics Normative b. ethics Descriptive c. ethics d. All of these 21. Being answerable for ones own action is assuming: Accountabilit a. y Responsibilit b. y Nonmalefice c. nce d. Veracity 22. A client is advised by the doctor to undergo chemotherapy. An informed consent is not yet signed. This client requests information related to chemotherapy and the drugs that will be given to him. The nurse explained the side effects of the medications, including the length of treatment and the prognosis of the disease. The nurse answered all the questions of the client honestly even though the client may choose not to undergo chemotherapy. The nurse in this situation is promoting: a. Fidelity b. Justice c. Veracity Confidential d. ity 23. To make autonomous decisions and actions, clients must be offered enough information and has the following criteria: Free of internal and external a. influences

b. A minor c. Unconscious d. Comatose patient 24. The duty to respect privileged information is called: a. Fidelity b. Justice c. Veracity Confidential d. ity 25. Nurses code of ethics is a set of ethical principles generally accepted by members of the profession. The standard or principles that a nurse must observe in the practice should promote which duty? Uses judgment in relation to individual competence when accepting and delegating a. responsibilities. Plays a major role in determining and implementation of desirable standards of nursing b. practice. c. Active in developing a core of professional knowledge. Acts through professional organization and participates in establishing and maintaining d. equitable social and economic working conditions in nursing. 26. When does a moral issue become an ethical issue? When the choices are clearly denoting which is right and a. wrong. b. When values of a person develops and changes over time. When there is no acceptable reason for the wrong choice c. once it is done. When the choice is no longer clear between right and d. wrong. 27. The one that promotes the philosophical and theological study of morality, moral judgments and moral problems is called: a. values b. morals c. ethics standards of d. practice 28. The execution of duties associated with nurses particular role is called: Accountabilit a. y Responsibilit b. y Nonmalefice c. nce d. Veracity 29. The principles or standards that influence behavior and decision making which are based on experience, religion, education and culture is called: a. values b. morals c. ethics standards of d. practice 30. Ethics in nursing profession is very important. The type of ethics that presents a factual narration of moral behaviors is called: a. Mataethics Normative b. ethics Descriptive c. ethics d. All of these

31. The portion of ethics that centers on the extent to which judgments are reasonable or otherwise justifiable is: a. Mataethics Normative b. ethics Descriptive c. ethics d. All of these 32. The fundamental responsibility of a nurse according to the International Council of Nurse Code for Nurses are the following apart from: Prevention of a. illness b. Promotion of health Restoration of c. health Aggravation of d. suffering 33. Free consent is a willingness to participate in situations related to informed consent. There are constraints related to voluntariness, which are the internal and external. Internal constraints include which of the following? a. Coercion b. Fraud Undue c. violence Significant d. trauma 34. The nurses obligations to the client least like include: a. Considers the dignity of clients b. Retains a commitment of welfare to the client Work toward securing and maintaining conditions of employment that satisfy c. the goals of nursing. d. Hold confidential all information about a client learned in a health care setting. 35. Informed consent is a method that promotes: a. Autonomy Nonmalefice b. nce c. Beneficence d. Justice 36. The client on renal dialysis informs the nurse that he wants to stop the series of dialysis. The nurse should appropriately do which action in response to the clients decision? Inform the client that the doctor must decide a. what to do. Tell the client that he must finish his series of b. renal dialysis. Respect the clients decision and provide c. comfort measures. d. Leave the client and attend other patients. 37. Before the nurse administered the clients medication she assessed the clients needs for drugs, and followed the rights in drug preparation and administration. After the nurse has given the dose, she evaluated the clients response to the medication given. The nurse is promoting: Accountabil a. ity b. Autonomy Responsibili c. ty

d. Veracity 38. The nurse in a unit is caring for several clients. To distribute nursing care the nurse utilized the principle of triage due to the limited availability of resources. The nurse is promoting which ethical principle? a. Fidelity b. Justice c. Veracity Confidential d. ity 39. Your patient is considering participating in a multi-site trial of a new cancer medication. According to the " Patient's Bill of Rights," it is important for the patient to know that: a. all costs of research are paid by the patient. b. he has the right to refuse to participate in research without fear of loss of care. c. the physicians will no longer be caring for him if he does not participate in the research. d. the research study is his only hope of treatment. 40. While attending closed medical case rounds, you are giving as a part of the teaching-learning process a detailed written case that is to be further discussed. In the course of the discussion, the identity of the patient becomes known to the group. You should: a. dispose of any class notes in the regular trash. b. stop the discussion immediately after the identity of the patient is known. c. participate in the discussion while in class, but dispose of the case information in the shredded trash after the presentation. d. respect the patient's confidentiality by leaving the presentation at the point at which the identity of the patient becomes known. 41. Family members had a variety of negative reactions to the restraining of their relative in acute care settings. These reactions were: a. "She didn't do anything and she's tied up." b. "My mother was overjoyed over the restraint as it felt secure. " c. "The restraints are a good thing for older people." d. "Collaboration is always excellent here concerning restraints." 42. Potential quality indicators that may be the focus of unit-based quality improvement (CQI) activity on a med-surg unit are all of the following except: a. medication errors. b. incisional wound infections. c. incidence of pneumonias post-operatively. d. number of readmissions with primary diagnosis of CHF. 43. All of the following are true as a nurse designates a task as high priority except: a. priorities are physiological. b. priorities are psychological. c. if untreated could result in harm to the client. d. involve a quick response to needs as determined by the nurse independently from the client involved.

44. If information from the chart about patients condition and treatment is circulated to unauthorized person, the nurse may be liable for damages on the ground of: a. Privacy invasion b. Breach of confidentiality c. Defamation d. Assault

45. Who has the utmost right to open, or to have an access, of the patients chart? a. Nurse b. Doctor

c. Significant Others d. Patient Situation: Albert is deciding whether to commit his brother, Arnold to a mental institution or not. Arnold refuses to cooperate. 46. The fundamental right of every individual emanates from: a. Constitution of the Philippines b. Laws of the land c. Penal Code d. Persons Bill of Rights

47. Albert can be advised that his brother can only be treated involuntarily, if: a. Nobody can take care of him at home b. He has suicidal tendencies c. He is dangerous to others d. All of these

48. Confidentiality of patients identity and condition is one of the nursing responsibilities in the hospital. Which of the following reasons can information be given without patient consent, EXCEPT: a. Patient is charged with crime b. Patient has TB c. Patient is a victim of child abuse d. Patient has cancer

49. You informed the patient about his right which include the following EXCEPT: a. Right to expect reasonable care b. Right to consent to or decline to participate in research studies or experiments c. Right to obtain information about another patient d. Right to expect that the records about his care will be treated as confidential

Situation: Ninety year-old Gloria is confined at the medical unit for respiratory ailment for which a breathing apparatus is prescribed for her to use while she sleeps. She refuses to wear it continuously though she fully nderstands the medical indication for it.

50. Which of these ethical principles can guide the nurse in her action? a. Beneficence b. Fidelity c. Autonomy d. Nonmaleficence

51. Gloria has six children who are already adults. They differ in their opinion whether or not to allow their mother to decide for herself. The nurse would encourage family conference for: a. the eldest childs opinion to be given priority b. majority of the children to decide c. allowing the medical staff to decide in their behalf d. consensus building

52. Breathing treatments are to be given to Gloria. In anticipation that Gloria might refuse, Dinio, one of the children requests that he be the one to sign the consent in behalf of their mother. The nurse explains that Gloria is rational in her thinking, and that, which of these clients right must be regarded? a. Right to refuse treatment b. Right to privacy c. Right to informed consent d. Right of habeas corpus

Situation: Mr. Coco Martins chart is the permanent legal recording of all information that relates to his health care management. As such, the entries in the chart must have accurate data.

53. Mr. Martins chart contains all information about his health care. The functions of records include all of the following except: a. Means of communication that health team members use to communicate their contributions to the clients health care. b. The clients record also shows a document of how health care agencies will be reimbursed for their services c. Educational resource for student in advance to save time

54. An advantage of automated or computerized client care system is: a. The nursing diagnoses for a clients data can be accurately determined b. Cost of confinement will be reduced c. Information concerning the client can be easily updated d. The number of people to take care of the client will be reduced

55. Information in the patients chart is inadmissible in court as evidence when: a. The clients family refuses to have it used b. The client objects to its use c. The handwriting is not legible d. It has too many abbreviations that are unofficial

56. Daria who is admitted to the hospital with autoimmune thrombocytopenia and platelet count of 20,000 develops epistaxis and melena. Treatment with corticosteroids and immunoglobulin has not been successful. Her physician recommended splenectomy. Daria states I dont need

surgery. This will go away on its own. In considering your response to Daria you must depend on the ethical principle of: a. Beneficence b. Justice c. Autonomy d. Advocacy

57. Zorayda is terminally ill and is experiencing severe pain. She has bone and liver metastasis. She has been on morphine for several months now. Zorayda is aware that they are having financial problems. She decides to sign a DNR form. What ethical principle did Zorayda and her family tilize as basis for their decision to sign a DNR. a. Justice b. Autonomy c. Beneficence d. Advocacy

58. Tricia, a staff nurse working in a cancer unit, is considered a role model not only by her colleagues but also by her patients. She goes out of her way to help others. She is very active in their professional organization and she practices what she teaches. What ethical principle is she practicing? a. Beneficence b. Autonomy c. Advocacy d. Justice

59. You are commuting to work riding the LRT. An older person collapsed and nobody seems to notice her. The security guard tried to make her sit down but she remained unconscious. You saw what happened and you decided to help. You brought the patient to the nearest hospital. You learned later that the woman was diabetic. She was on her way to the diabetes clinic to have her fasting blood sugar tested. She developed hypoglycemia. Yo were able to save a life. You felt good. What principle was applied? a. Advocacy b. Beneficence c. Justice d. Autonomy

60. It may seem redundant that health care providers, including professional nurses, agree do no harm to their clients. The point of this agreement is to reassure the public that in all ways the health care team will not only work to heal clients, they agree to do this in the least painful and harmful way possible. The principle that describes this agreement is called: a. Beneficence b. Accountability c. Nonmaleficence d. Respect for autonomy

61. In most ethical dilemmas, the solution to the dilemma requires negotiation among members of the health care team. The nurses point of view is valuable because: a. The principle of autonomy guides all participants to respect their own self-worth b. Nurses have a legal license that encourages their presence during ethical discussions c. Nurses develop a relationship to the client that is unique among all professional health care providers d. The nurses code of ethics recommends that a nurse must be present at any ethical discussion about client care

62. Ethical dilemmas often arise over a conflict of opinion. Once the nurse has determined that the dilemma is ethical, a critical first step in negotiating the difference of opinion would be to: a. Consult a professional ethicist to ensure that the steps of the process occur in full b. Gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma c. Ensure that the attending physician or health care provider has written an order for an ethics consultation to support the ethics process d. List the ethical principles that inform the dilemma so that negotiations agree on the language of the discussion

63. You are caring for a comatose patient whose primary diagnosis is breast cancer but who has suffered multiple complications and who is now in the end stages of her illness. She has been in the medical intensive care unit for 3 weeks. Her husband tells you that he and his wife often talked about the end of her life and that she was very clear about not wanting aggressive treatment that would merely prolong her dying. You both agree that this seems to be all that therapy is now doing for her. Which of the following orders would you recommend the husband to speak to her physician about? a. Comfort-measures-only b. Do-not-hospitalize c. Do-not-resuscitate d. Slow-code-only

64. If you are involved in the terminal weaning of a patient, you will want to do all of the following except: a. Participate in the decision-making process by offering the family information about the advantages and disadvantages of continued ventilator support b. Explain to the family what happens at each phase of the weaning and offer support c. Check the orders for sedation and analgesia and make sure that the anticipated death is comfortable and dignified d. Tell the family that death will occur almost immediately after the patient is removed from the ventilator

65. Which of the following nursing actions violates the standards of caring for the body after a patient has been pronounced dead? a. Keeping the patient in a comfortable sitting position until the family has arrived and said their goodbyes

b. Placing identification tags on both the shroud and the ankle c. Removing soiled dressings and tubes d. Preparing to transfer the body to the morgue

66. The family of a patient who has just died asks to be alone with the body and asks for supplies to wash the body. You know that the mortician usually washes the body. Your best response is: a. Inform the family that there is no need for them to wash the body since the mortician does this b. Explain that hospital policy forbids their being alone with the deceased patient and that hospital supplies are to be used only by hospital personnel c. Give the supplies but watch the family so that nothing unusual happens d. Provide the requested supplies and ask if this request is linked to their religious or cultural customs and if there is anything else you can do to be of assistance

67. A 70 year-old woman who has had a number of strokes refuses further life-sustaining interventions, including artificial nutrition and dehydration. She is competent, understands the consequence of her actions, is not depressed, and persists in refusing treatment. Her doctor is adamant that she cannot be allowed to die this way, and her daughter agrees. An ethics consultation has been placed. Who is the appropriate decision maker? a. Patient b. Daughter c. Doctor d. Ethics consultation team

68. Wilfred, 30 years old male, was brought to the hospital due to injuries sustained from a vehicular accident. While being transported to the X-ray department, the straps accidentally broke and the client fell to the floor hitting his head. In this situation, the nurse is: a. Not responsible because of the doctrine of respondeat superior b. Free from any negligence that caused harm to the patient c. Liable along with the employer for the use of a defective equipment that harms the client d. Totally responsible for the negligence

69. Which of the following statements if made by the nurse, would you consider him/her as a prudent nurse? a. careful giving of medication in a central line b. asks supervision all the time c. follows the doctors order even when she thinks it is wrong d. questions wrong order of the doctor

70. The nurse is trying to contact the physician who gave an order for a new medication for the client. The prescribed medication has a high dosage and the nurse is reluctant to administer. Efforts have been made to look for the physician but the nurse failed to clarify the doctor. Which of the following actions should the nurse take?

a. hold the medication until the physician can be contacted b. administer the dose prescribed c. administer the recommended dose until the physician can be located d. contact the nursing supervisor

71. The moral choices a person makes, and what he or she should do. It is the vehicle that converts values into action. a. b. c. Ethics d.

72. All of the following must be included in the ethical decision making criteria except a. Focus on consequences b. Focus on the rights of individuals c. Focus on integrity d. Focus on the faults of the individual

73. It is the ethics of an organization. It is how an organization ethically responds to an internal or external stimulus. a. b, Organizational ethics c. d.

74. All of the following are advantages of an ethical organization except: a. attaining self-interest b. ability to retain employees that are experienced and knowledgeable (human capital) c. less employee turnover and less time to train new employees d. greater output of services (or production of goods)

75. All of the following must be present in an ethical organization except: a. Leadership b. Penalizing whistle blowers c. Infrastructure d. Measures and Rewards

76. It refers to excellence of a product or a service, including its attractiveness, lack of defects, reliability and long-term durability a. b. c. d. Quality

77. It is the management of an organizations workforce, or human resources. It is responsible for the attraction, selection, training, assessment, and rewarding of employees, while also overseeing organizational leadership and culture, and ensuring compliance with employment and labor laws a. Human Resource Management b. c. d.

78. All of the following are responsibilities of human resorce managers except: a. Recruiting b. Considering Employees Welfare c. Rewarding d. None of the above

79. It is a part of an organization focused on the collection and management of information from one or more sources and the distribution of that information to one or more audiences. It entails organizing, retrieving, acquiring, securing and maintaining information. a. b. c. d. Information management

80. It means the organization of and control over the structure, processing and delivering of information a. b. c. Management d.

81. In terms of technology, information management encompasses systems such as: a. Web content management b. Document management c. Records management d. All of the above

82. It refers to management methods used to enhance quality and productivity in business organizations. It provides a framework for implementing effective quality and productivity initiatives that can increase profitability and competitiveness of organizations a. Total quality management b. c. d.

83. Which of the following contributes to a positive moral climate in an organization a. Alignment of decisions with hospitals stated values b. Confidentiality about management processes, decisions and actions c. Non-involvement in organizational decision-making d. Opportunities to unraise difficult ethical issues safely

84. Which of the following includes the TQM Program Implementation Steps:

1. Assess the overall health of the company as it currently operates. If conditions such as lack of management skills and poor employee morale currently exist, you must address those problems first for a better chance of success in implementing Total Quality Management. 2. Study the history of the company in relation to change. If the company has a good track record of responding favorably to changes in the marketplace and making necessary modifications to business practices along the way, it is probably a good candidate to implement Total Quality Management. 3. Introduce the concept of Total Quality Management to senior level executives. Implementing Total Quality Management can't be delegated, it must be driven by senior management in order to succeed. 4. Enlist the services of Total Quality Management consultants. They can help you to audit the company in its current state, suggest areas of improvement and provide training to key employees who can then pass along that information to other employees. 5. Empower the employees to identify needed changes, with the knowledge that management values their ideas. Systems of reward for measurable improvements should be considered. Employees at all levels of the organization must feel that what they do contributes to the customer's satisfaction. 6. Realize that implementing Total Quality Management is a long process and doesn't happen overnight. But with management commitment, consistent training of employees and an eye on the ultimate goal of retaining satisfied customers, Total Quality Management can be achieved.

a. 1, 2, 3, 4, 5 b. 2, 3, 4, 5, 6 c. 1, 2, 3, 4, 5, 6 d. 1, 3, 4, 5

85. All of the following includes the basic elements of TQM except: a. policy, planning and administration b. uplifting of self-interest c. corrective action d. employee selection, training and motivation

86. It is a part of the ANA Standards of Care wherein the nurse collects patient health data in order to elicit information about client needs for care. a. Assessment b. Diagnosis c. Outcome Identification d. Evaluation

87. It is a part of the ANA Standards of Care wherein the nurse evaluates the patients progress toward attainment of outcomes a. Assessment b. Diagnosis c. Outcome Identification d. Evaluation

88. It is a part of the ANA Standards of Professional Performance wherein the nurse acquires and maintains current knowledge in nursing practice a. Performance Appraisal b. Education c. Ethics d. Collaboration

89. It is a part of the ANA Standards of Professional Performance wherein the nurse evaluates his/her own nursing practice in relation to professional practice standards and relevant statutes and regulations a. Performance Appraisal b. Education

c. Ethics d. Collaboration

90. It is a part of the ANA Standards of Professional Performance wherein the nurse systematically evaluates the quality and effectiveness of nursing practice: a. Research b. Resource Utilization c. Quality of Care d. Collaboration

91-95. Years from now you are going to become a full-pledged nurse. What do you think can you contribute in order for your organization to become successful? In addition, what are things you should do in order to gain your co-workers trust? State your contributions in not less than five sentences.

96. 100. In not less than five sentences, state three scenarios you think are considered as the most common problems in an organization. Suggest ways on how these problems can be prevented.